ReviewObesity (Silver Spring, Md.)2026
Glucagon-Like Peptide-1 Receptor Agonist-Based Agents and Body Composition: Filling More Gaps.
Review in Obesity (Silver Spring, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
The last 2 decades have seen historic advances in the treatment of obesity. We are entering an era of defining obesity not by weight-based outcomes but by changes in body composition. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are forming the platform for obesity treatments based on their high level of efficacy. Body composition can be quantified by changes in percent fat/fat-free mass as a total of body weight. The amount of weight that is lost as % fat-free mass (% FFML) with diet-induced weight loss is ~25% but is extremely variable. Our aim was to provide an update to our previous report assessing changes in body composition using GLP-1 RA-based agents. In our updated review of 40 DXA-based reports, we found the mean (SD) % FFML was 29.1% (19.0%). Similar to our previous report, we found that the changes in body composition using these agents remain in the upper range of expected % FFML using other nonsurgical interventions for obesity. Functional measures of strength and performance and assessing body composition effects of future GLP-1-based agents are needed to understand the continued gaps that exist in determining the impact these treatments have, particularly in high-risk populations.
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